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目的探讨脑卒中患者的精神心理状态,分析综合护理干预对于此类患者精神心理状态的改善效果。方法选取2014年6月~2016年1月期间我院收治的脑卒中患者176例作为本研究对象,采用阳性与阴性症状量表(PANSS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状自评量表(SCL-90)以及脑卒中专用生活质量量表(SS-QOL)和功能独立性量表(FIM)来分析所研究患者的精神状态及生活质量等。随机将所有患者分为两组,研究组和对照组,每组88例。研究组给予综合性护理干预,对照组仅给予一般的护理。比较两组患者护理后的精神状态及生活质量等。结果护理干预前,两组患者的上述各项指标评分比较差异不具有统计学意义(P>0.05)。而经过护理干预后,两组患者的上述指标较护理前均改善(P<0.05),且研究组患者的PANSS、SAS、SDS、SCL-90评分显著低于对照组患者,而SS-QOL、FIM评分显著高于对照组,差异均具有统计学意义(P<0.05)。结论脑卒中患者存在着不同程度的精神心理障碍,综合性护理干预能够明显改善患者的精神心理状态,生活质量及躯体社会功能,值得推广应用。
Objective To explore the mental state of stroke patients and to analyze the effect of comprehensive nursing intervention on the mental state of such patients. Methods A total of 176 stroke patients admitted to our hospital from June 2014 to January 2016 were selected as the subjects. The positive and negative symptom scales (PANSS), anxiety self-rating scale (SAS), depression self-rating scale (SDS), Symptom Checklist 90 (SCL-90), SS-QOL and FIM were used to analyze the mental status and quality of life of the patients under study. All patients were randomly divided into two groups, study group and control group, 88 cases in each group. The study group received a comprehensive nursing intervention and the control group received only general care. The mental status and quality of life of the two groups after treatment were compared. Results Before nursing intervention, there was no significant difference between the two groups in the above indexes (P> 0.05). After nursing intervention, the above indexes in both groups were improved compared with that before nursing (P <0.05), and the scores of PANSS, SAS, SDS and SCL-90 in study group were significantly lower than those in control group, while SS-QOL, FIM score was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion Stroke patients have different levels of mental and psychological disorders. Comprehensive nursing intervention can significantly improve the patients’ mental state, quality of life and social function of the body, which is worth popularizing and applying.